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General NPI Number Information
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NPI Number | 1730268152
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Entity Type | Individual
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Provider Name | KAREN L. WOLFE M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 135 E MONTGOMERY ST
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City | VILLA RICA
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State | GA
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Zip | 30180-2708
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Country | US
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Telephone | 770-459-1952
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Fax | 770-459-1929
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Provider Business Mailing Address
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Address Line | PO BOX 2166
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City | VILLA RICA
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State | GA
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Zip | 30180-6442
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Country | US
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Telephone | 770-459-1952
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1414
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License Number State | GA
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